Kunal Patel, M.D.
Pulmonary Disease Physician · Pleasant Prairie, WI
Kunal Patel, M.D. is a pulmonary disease physician with a practice address in Pleasant Prairie, Wisconsin, and NPI 1548600240, issued on Jun 27, 2013. Check the license on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Kunal Patel
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 036141107 IL
Self-reported in NPPES; status is on the state search - Practice location
- 9555 76TH St, Pleasant Prairie, WI 53158
- Phone
- (262) 577-8300
- Enumerated
- Jun 27, 2013
- Record last updated
- Jan 24, 2024
- Fax
- (262) 577-8414
- Medicare enrollment
- Enrolled (PECOS I20230913001780); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 300 in Wisconsin → Look up another NPI →
Also registered at 9555 76TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Renee Andrews, MS,RD,CDRegistered Dietitian1851060719
- Rachel Antony, PA-CPhysician Assistant1780177048
- David Banicki, FNP-CFamily Nurse Practitioner1962217125
- Timothy BerryPhysician Assistant1366332041
- John Budi, DOEmergency Medicine Physician1891050217
- Jelena Bugarin, PA-CPhysician Assistant1811511579
Verify Kunal Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining BoardCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
46% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
767 Medicare Part D claims for 196 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 50% of claims.
Most prescribed
- Trelegy Ellipta117 claims
- Albuterol Sulfate Hfa116 claims
- Prednisone70 claims
- Montelukast Sodium44 claims
- Anoro Ellipta40 claims
- Breo Ellipta33 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $374.24
13 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Froedtert South IncPleasant Prairie, WI
- Mercy Health System CorporationJanesville, WI
- Waukegan Clinic CorpGurnee, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kunal Patel among 300 pulmonary disease physician records in Wisconsin
Kunal Patel, M.D. is one of 300 pulmonary disease physician records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 73% of them.
- NPI issued2013 · 73% of these records are older, 25% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2012 · median 2003 among the 220 with a school on file
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 pulmonary disease physician records list a practice address in Pleasant Prairie
They are 4 of the 307 NPPES records with a practice address in Pleasant Prairie, and 300 pulmonary disease physician records in Wisconsin.
All 300 in Wisconsin → Every provider in Pleasant Prairie → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Srikanth Davuluri, MDPleasant Prairie, WI 531581205034998
- Tricia Griffiths, M.D.Pleasant Prairie, WI 531581174938740
- Azimabbas Saiyed, DOPleasant Prairie, WI 531581619405057
- William TillisLake Geneva, WI 531471669468377
- Joshua Bloom, MDKenosha, WI 531431770530750
- Alfred Habel, MDKenosha, WI 531431760439608
- Peter Mariani, MDKenosha, WI 531431679520514
- Hasnain Bawaadam, M.D., M.P.H.Kenosha, WI 531421861618597
Common questions
What is Kunal Patel, M.D.'s NPI number?
Kunal Patel, M.D.'s National Provider Identifier (NPI) is 1548600240, issued on Jun 27, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kunal Patel, M.D. located?
The NPPES record lists a practice address at 9555 76TH St, Pleasant Prairie, WI, 53158. Phone: (262) 577-8300. Providers update this record themselves, so call before visiting.
How can I verify Kunal Patel, M.D.'s license?
Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kunal Patel, M.D. prescribe under Medicare Part D?
In 2024, Kunal Patel, M.D. had 767 Medicare Part D claims for 196 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Kunal Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 79.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.